NCG080448_MONITORING INFO_20141030

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v Cc
DOC TYPE
❑HISTORICAL FILE
Chi MONITORING REPORTS
DOC DATE
❑ jo I � I D � C)
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted LA
CERTIFICATE OF COVERAGE NO. NCG08 Q —LA Lk g
FACILITY NAME 1.Q4--A-e— CneccStS
COUNTY
PERSON COLLECTING SAMPLES t
LABORATORY �)Dln Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' _ month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑zero -flow ❑Water Supply ❑SA
[—]Other
-
OCT 3 0 20i4
CENTRAL FILESPLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring Requirements DWR SECTION ❑ No discharge this period'
Outfallfi
D"ate` w
$� 00530 ;;D0400
00556
-`
No°,
SainpleyJ.ycollected
z TotalSusperided
pli; °
NonhPolarrOil'and Grease%TPH'EPA
:NewoNiotor:OiPLlsage,,
mo/dd/,yr,:
Solids, mg/[
Standard units`'
:Method1664(SGT-HEM);`mg%Lz
Aranualaverage,gal/mo
,�,;
`Bencfiinark
r '
50ora00isee:permit
'Withm6:0�.,9:d'`
1
�-1
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? dies _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
-
Date
allo56mp1escollected;
mo/dd/y,r
00556
- -00530
3 00400
Non Polar Qil=and Grease/TPH EPA=iVlethod?
16b4`(SG7-HEM};mg/L,.
:� <Total Suspended Solids,
.mg/L _
pH,.".
Standard units:
P.,ei mitiLim�t
-
- 15
�50or..100 see permit9:0
-
-�q—�
4Sn
1
1
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
paur, 1 of ?.

0
STORM EVENT CHARACTERISTICS:
Date -Aq-1 (first event sampled)
Total Event Precipitation (inches): _\r-Qe 2
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT !NAME:
Mail an original and one conv of this DMR, including all "No Discharge" reports, within 30 dovs of receipt of the lab results !or at end of monitoring period in
the case of "No Discharge" reports) ta:
Division of Water Quality
�Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-161)
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signaturermitteej
C?--
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wg//ws/su/npdessw#tab-4
SWU-250
last revised October 25, 2012
Paee 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted �M'234'A
CERTIFICATE OF COVERAGE NO. NCG08Q L a
FACILITY NAME W93�e_ Cd-Y P- kicr� n r_ _CVc Sn
COUNTY iCt_
PERSON COLLE ING SAMPLES _-_ � S -\
LABORATORY �(\i.Y-\ Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 10I�
SAMPLE PERIOD K Jan -June U July -Dec
or Lj Monthly' _ (months
DISCHARGING TO CLASS ❑ORW - ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
OCT 3 0 2014 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
❑ No discharge this period1
Ou#fall:
No _
Date'
Sam lesCollectec{;:
p.
mo%dd/yr, _,
00530
00400
00556 -
,_ y
. iTotal Sus erided4
p
Solids _rng/L" f
H
p.
Standard units
Non 1?olar'Oi[;and:Gi•ease/:tPH.EPA
Method 1664'(SG,T HEM); mg%L"
:New'Nlotor'Oil'Usa`'e'
g,
' "Annual average gal%in6
Benchmark
_ >
50 or 100 see herm
. , 9 0:
'` 15s _
: ,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall` ?
No
-
'X� �' Date
Sample Collected,
x=mo/dd/�yr
-00556. R
# .;00530
00400
Non -Polar Oil9andGrease/TPH EPA Method
166.4(SGT=HEIVIJ,.mg%L,
= r Total;Suspended Solids,
mg/,,L ,
M pH,
�' Standard;urnts _;
P,e�mit:Limit-.
50Aor:100 see permit ,
60
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 East revised October 25, 2012
PaQe. 1 of

9

to •
•
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): .9
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" report
,s within 30 days o recei t of the lab results tor at end of monitoring period in
the case of "No Discharge" report) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27644-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
/—/: j 2Y=/(-(
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wcl/ws/su4npdessw#tab-4
S W U-2 50
last revised October 25, 2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted- I-Za3—k% _
CERTIFICATE OF COVERAGE NO. NCG08Q
FACILITY NAME W(nkg- crnnee Qn�
COUNTY McCM
PERSON COLLECTING SAMPLES _ �C�
LABORATORY Qf t Sf'1 Lab Cert. # LA 0'�,,
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR eta
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' _ (month'
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED []Zero -flow []Water Supply ❑SA
OCT 3 o 2014- ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION ❑ No discharge this period'
Outfall`Date
_.
:No
r
;'.Sample ;Collected; '"
mo%dd/yr,.1�_'Solids;,mg%l:.
00 0
S3
00400
: r 0 0556
-
Total Suspended
pH;,
• Standard units''
Non Polar Oil and Grease/TPH�EPA
Method1654;(SG7 HENij;r,rng/L,
;!lVew IVlotor'OilUsage;;
Annual;average:gal/.ina,`
;:Benchmark
,"Nr.'.
50 orr100,seerpermit
- ;Withinfi:0 9 0,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? i yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
;. Outfall�
Date_,s
=bm 00556
00530
0040i}
No
w .,
Sample,°Collected,
;Non -Polar Oil andGr,,ease/TEH,EPAMeflind
Total S'uspended;Snlids,
pH,'.
r ±mo%dd/yr, ..
1664�(SGT=HEM); frig/,i.
mg/,L
'Staridardsunits
P•ermit1imAt'-:
fr =`- -`
, : 35
,
50 or-lU0 se6.permit
..;6 0 ,9t0
3 -3-I
_ 45.0
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25. 2012
Paap. 1 of 2

STORM EVENT CHARACTERISTICS:
Date Iy (first event sampled)
Total Event Precipitation (inches):
Date .. (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERSTIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO PQ
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this MR, including all "No Discharge" reports, within 30 days of recent of the lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature 909-fmittee)
( Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-250
last revised October 25, 2012
Paee 2 of 2